Krueger Evan M, Trombly Ryan, Guglielmi Gina, Farhat Hamad
Neurosurgery, Advocate Health Care, Downers Grove, USA.
Neurosurgery, Advocate Bromenn Medical Center, Chicago, USA.
Cureus. 2018 Nov 27;10(11):e3643. doi: 10.7759/cureus.3643.
Traumatic intracranial aneurysms are rare lesions that occur after blunt or primarily penetrating mechanisms. These are extremely fragile vessel injuries associated with significant morbidity and mortality, especially after rupture. Disease natural history, surveillance strategies, and management are based on small case series. Here we present a case of a 29-year-old male with a large epidural hematoma after blunt trauma, who underwent emergent surgical intervention. Three months postoperatively, he presented with unusual cerebral bleeding. Clinical suspicion prompted a conventional angiogram, which diagnosed a ruptured cortical traumatic intracranial aneurysm. The patient was urgently treated by surgical clipping with a good outcome.
创伤性颅内动脉瘤是在钝性或主要穿透性机制后发生的罕见病变。这些是极其脆弱的血管损伤，与显著的发病率和死亡率相关，尤其是在破裂后。疾病的自然史、监测策略和管理基于小病例系列。在此，我们报告一例29岁男性，钝性创伤后出现巨大硬膜外血肿，接受了紧急手术干预。术后三个月，他出现异常脑内出血。临床怀疑促使进行常规血管造影，诊断为破裂的皮质创伤性颅内动脉瘤。患者紧急接受手术夹闭治疗，效果良好。
